Bumps Insider Lip After Restylane

Its been 6 weeks since I had half a cc in my top lip and when I touch the inside of my lip there are bumps. Is that the Restylane? If not how do I make sure these bumps will go away and wont be permanent? I'm making myself sick over this. Also when this goes away will my lips look saggy or normal again? thanks so much!!!!

Doctor Answers 5

Bumps in lip after Restylane

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Don't panic yourself. The bumps could very well be the Restylane and then will go away, although it could take a year or so. They can be flattened by injections of hyaluronidase. Sometimes people can develop distended salivary glands in the lip or mucoceles which can be unrelated to having had a filler. These are often temporary. If they are becoming visibly noticable or enlarging or painful then see your doctor.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Bumps after Restylane

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Lip filler bumps is fairly common after filler.  The bumps can occur early on and many settle down.  Although massage after filler is considered a mainstay, beware that massage can drive the filler into another location if done too early.  

Reasons for bumps after filler:

  • Technique- Filler may have been used too superficially or wrong type of filler
  • Mouth movements- In some patients their movements can promote the accumulation of bumps and an alternative technique can be advocated.

Treating lip filler bumps:

  • Observation +/- massage-  Should be done for almost all lip filler bumps for 2 weeks.  For our patients we usually advocated massage after 48-72 hours to let the filler settle into place.
  • Reversal- A reversal agent can be used such as Vitrase to dissolve the filler if there is a large obvious persistent bump
  • Additional filler- An expert filler injector can used improved technique to mask the lip bumps.

The application of lip filler is very technical and should be done by an expert injector.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 172 reviews

Bumps after restylane

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The bumps may be small pockets of restylane that if yoiu noticed early could have been massaged to flatten. You can leave it alone and they will eventually go away or have hyaluronidase injected to melt it.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Restylane bumps can be treated.

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If you can feel the bumps, but not see them, I would advise leaving them alone.  They will go away in a few months.  If not, they can be dissolved.  And they can be prevented if you have future injections.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Worrisome Lip Augmentation with Restylane

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It is impossible to answer you without examining you. The best person to answer your question is the doctor (hopefully) who injected you. But - if you were injected with genuine Restylane (and not a forgery or gray market product so commonly used in some offices and salons), the results WILL go away with time OR they can be dissolved with Hyaluronidase. You may want to see a second opinion from an experienced Plastic surgeon or Dermatologist in your area.

Peter A. Aldea, MD
Memphis Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.